| Li Ny Medical Care PC | |
|
136 3rd Ave Brentwood NY 11717-4617 | |
| (347) 268-9125 | |
| Not Available |
| Full Name | Li Ny Medical Care PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 136 3rd Ave, Brentwood, New York |
| Authorized Official Name and Position | Raffat Batool (OWNER) |
| Authorized Official Contact | 3472689125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Li Ny Medical Care PC 19 Saratoga Dr Jericho NY 11753-1444 Ph: (347) 268-9125 | Li Ny Medical Care PC 136 3rd Ave Brentwood NY 11717-4617 Ph: (347) 268-9125 |
| NPI Number | 1831062496 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Medicare PECOS PAC ID | 2062906654 |
|---|---|
| Medicare Enrollment ID | O20251211000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831062496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Raffat Batool |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649610874 PECOS PAC ID: 5991948572 Enrollment ID: I20130829000472 |
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